Data/hora: 16/06/2024 01:06:55

Provedor de dados: | 56
País: | Brazil
Título: | Long-term efficacy of endovascular vs open surgical repair for complicated type-B aortic dissection: a single-center retrospective study and meta-analysis
Autores: | Zhu,Y.; Wang,B.; Meng,Q.; Liu,J.; Zhai,S.; He,J.
Data: | 2016-01-01
Ano: | 2016
Palavras-chave: | Aortic dissection; Open surgical repair; Type-B aortic dissection; Endovascular aortic repair.
Resumo: | This study aimed to evaluate the long-term survival and risk factors of traditional open surgical repair (OSR) vs thoracic endovascular aneurysm repair (TEVAR) for complicated type-B aortic dissection (TBAD). A total of 118 inpatients (45 OSR vs 73 TEVAR) with TBAD were enrolled from January 2004 to January 2015. Kaplan-Meier curves and Cox proportional hazards analysis were performed to identify the long-term survival rate and independent predictors of survival, respectively. Meta-analysis was used to further explore the long-term efficacy of OSR and TEVAR in the eight included studies using Review Manager 5.2 software. An overall 10-year survival rate of 41.9% was found, and it was similar in the two groups (56.7% OSR vs 26.1% TEVAR; log-rank P=0.953). The risk factors of long-term survival were refractory hypertension (OR=11.1; 95%CI=1.428-86.372; P=0.021] and preoperative aortic diameter &gt;55 mm (OR=4.5; 95%CI=1.842-11.346; P=0.001). Long-term survival rate did not differ significantly between OSR and TEVAR (hazard ratio=0.87; 95%CI=0.52-1.47; P=0.61). Compared with OSR, TEVAR did not show long-term advantages for patients with TBAD. Refractory hypertension and total aortic diameter &gt;55 mm can be used to predict the long-term survival of TBAD in the Chinese Han population.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2016000600707
Editor: | Associação Brasileira de Divulgação Científica
Relação: | 10.1590/1414-431x20165194
Formato: | text/html
Fonte: | Brazilian Journal of Medical and Biological Research  v.49 n.6 2016
Fonte: | info:eu-repo/semantics/openAccess